While there are comprehensive hospital infection control guidelines at the proposed study site, Sappasithiprasong hospitals, a recent observational study our team carried out at this hospital has indicated poor HH compliance, below 5% for all health-care workers(HCWs) (manuscript in preparation). Previous data collected by our team has suggested hospital infection control guidelines may not have been implemented consistently due, in part, to resource constraints[5]. More recent qualitative research we have carried out at Sappasithiprasong hospital into the causes of poor hand hygiene compliance has identified several obstacles, and highlighted in particular a lack of knowledge about appropriate hand hygiene behaviour.